Health and Human Services

KPMG leverages a global network of highly-experienced professionals from across a wide range of functional service areas to deliver thought leadership on topics such as modernizing service delivery models, harnessing data and analytics, improving program outcomes, preventing fraud, and implementing public-private partnerships among other federal, state, and local government health and human services topics. Our professionals leverage their experience in integrated eligibility, Medicaid, child support enforcement, child welfare, technology innovation, WIC, and unemployment insurance to provide unique perspectives that address the challenges governments face now and in the future.

Might a 2016 proposal become 2017’s healthcare reform framework?This issue brief summarizes the healthcare components of Speaker Paul Ryan's plan, "A Better Way: Our Vision for a Confident America", analyzes the potential impact to states and the federal government, and provides recommended steps that government agencies can start taking now to prepare for expected changes.

Enhancing client and case managementThe second paper in KPMG's health and human services integrated services delivery series focuses on integrated client and case management, highlighting the opportunities that states have to implement foundational business processes and technology enablers that achieve administrative efficiencies as well as support improved client outcomes.

Finding the "right doors" for your clientsHighlights the critical ways states can unlock the power of delivery channels to enhance client self-service, improve customer experiences, drive clients towards the “right door” that benefits them, and realign costs to worker-based activities that will improve client outcomes.

The path to value: Early lessons learnedThis issue brief discusses leading healthcare transformation practices and early lessons learned for how states can embark on their payment reform journeys in collaboration with major stakeholders.

How Recent Guidance Impacts State Child Support Enforcement ProgramsA summary of the final rule for significant technological and programmatic updates to state-administered child support enforcement program operations and considerations for states when assessing the impact of these changes to their child support system modernization plans and operations.

Sharing data for better healthcare How new federal guidance promotes the expansion of health information exchange (HIE) and gives states a new funding tool to encourage connectivity with more Medicaid providers.

A new reporting rule for SNAPHow states must comply with the Department of Agriculture's Food and Nutrition Service's final rule related to reporting changes to SNAP.

The state of oversight and program integrity in managed careThis issue brief discusses three key components of managed care oversight and program integrity, including MCO monitoring and regulatory framework, fraud, waste, and abuse and improper payments in a managed care context, and the role of intelligent automation in managed care oversight and program integrity.

The opioid epidemic: Data-driven case studiesDespite the struggle to effectively combat the opioid epidemic, a number of efforts have yielded initial positive results and have uncovered promising strategies to attack the multifaceted epidemic through data-driven solutions. This issue brief explores strategies deployed in Rhode Island, Massachusetts, Pennsylvania, and Oklahoma.

The opioid epidemic: A framework for actionThis issue brief provides an overview of the crisis, four action areas of the solution framework, and considerations for state and local agencies as they seek to address the opioid epidemic.

Contact Us

Paul Hencoski

U.S. Lead Partner - Health and Human Services
212-872-3131Email LinkedIn